| NPI | 1295314193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMESHA DAVIS CEO 832-445-9546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| 363L00000X Nurse Practitioner | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2022-01-21 |