| NPI | 1447716105 |
|---|---|
| Doing Business As | SHARED COMMUNITY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTI ROQUEMORE-GORDY Owner 832-244-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-03-28 |