| NPI | 1417208539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE L MYNATT Owner / Nurse Practitioner 281-440-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 720296) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |