NPI | 1508146465 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNIE EVANS President 281-451-3267 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: TX H5705) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX H5705) |
363L00000X Nurse Practitioner (Licence: TX H5705) | |
Enumeration Date | 2011-08-24 |
Last Update Date | 2011-08-24 |