| NPI | 1376349936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY DANIELLE VANDERGRIFFT Owner, Nurse Practitioner 979-614-0115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2026-03-11 |