| NPI | 1477382620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN WANG Chief Administrative Officer 832-420-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QP2300X Clinic/Center, Primary Care | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2024-11-15 |