| NPI | 1336886605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MCKEY Nurse Practitioner 409-466-4690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 251J00000X Nursing Care | |
| 261Q00000X Clinic/Center | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-18 |