| NPI | 1457771883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN DOBBS Fnp Bc 979-777-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX AP123238) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX AP123238) |
| 282N00000X General Acute Care Hospital (Licence: TX AP123238) | |
| 314000000X Skilled Nursing Facility (Licence: TX AP123238) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |