| 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 |