NPI | 1346567831 |
---|---|
Doing Business As | THE CLINIC AT WALMART, STORE #75 |
Entity Type | Organization |
Authorized Contact | DONNA J MIKULECKY CEO President 713-277-2202 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2010-04-23 |
Last Update Date | 2010-04-23 |