| NPI | 1396166526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY VAN NORTON Nurse Practitioner 832-723-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 776641) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |