| NPI | 1255862074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINGSLEY OKONKWO President 361-334-0613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P4362) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q5518) |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-02-10 |