| NPI | 1306261987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE BOUDREAUX Owner 832-302-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |