| NPI | 1467854539 |
|---|---|
| Former Legal Business Name | TOTAL PEDIATRIC CENTER INC |
| Entity Type | Organization |
| Authorized Contact | CHIOMA OSIBODU Director 832-216-4751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 759225) |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2014-09-20 |