| NPI | 1255938916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAVERA MCDONALD Owner 281-865-9751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2024-03-10 |