| NPI | 1366722464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNIE EVANS President 281-451-4654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: TX H5705) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX H5705) |
| 363L00000X Nurse Practitioner (Licence: TX H5705) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |