| NPI | 1376150466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEOLA AJAYI Authorized Official 281-773-7059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 363LC1500X Nurse Practitioner Community Health | |
| 363LG0600X Nurse Practitioner Gerontology | |
| 363LP2300X Nurse Practitioner Primary Care | |
| 363LX0106X Nurse Practitioner Occupational Health | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-24 |