| NPI | 1467998401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA LEA FAULK Owner/Manager 409-727-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP116645) |
| Enumeration Date | 2017-01-15 |
| Last Update Date | 2017-01-15 |