| NPI | 1497105084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BARBER Medical Director 409-722-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP131092) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |