| NPI | 1538983549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH FEDAK Nurse Practitioner 832-529-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-27 |