| NPI | 1427583020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRALYNN VICTORIAN Family Nurse Practitioner 832-791-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX AP125837) |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2022-07-21 |