| NPI | 1487178208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WILHITE Owner 936-344-1303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-03 |