| NPI | 1437838729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY DAWN YOLLES Owner/ Nurse Practitioner 936-689-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |