| NPI | 1538533013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCHIA LYNNETTE YOUNG Provider 832-964-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP5602) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3446) | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2020-10-08 |