NPI | 1366786766 |
---|---|
Entity Type | Organization |
Authorized Contact | CANDY H RATLIFF Owner/Povider 281-971-2223 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 207Q00000X Family Medicine |
207QA0000X Family Medicine, Adolescent Medicine | |
207QA0505X Family Medicine, Adult Medicine | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2012-11-26 |
Last Update Date | 2024-08-15 |