| NPI | 1477279388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNDRIA CAPRI CRISS-AYELAGBE Owner 832-515-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |