| NPI | 1396407938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEWANA SYLVESTER Manager 281-409-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2023-06-10 |