| NPI | 1407463391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROY Administrator 832-549-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2022-03-07 |