| NPI | 1538937040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUONG T TRAN Nurse Practitioner/Employee 409-237-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-04-24 |