| NPI | 1306219662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN MENA CANTERO Nurse Practitioner 832-831-8925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP129563) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: TX AP129563) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2016-07-06 |