| NPI | 1487826087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WILLIAMS MITCHELL Owner 210-780-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 748540) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M2646) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 677222) | |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2023-09-06 |