| NPI | 1306564802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE JOHNSON VP, Revenue Cycle 281-771-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2025-02-25 |