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 |