| NPI | 1396144481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI STEPHENS Office Manager 832-321-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122302) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2015-12-14 |