| NPI | 1295259810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWIT KIDANE Program Manager 832-762-8451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: TX 824816) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |