| NPI | 1558591677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WATCHARA SILO President 936-242-1627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 599159) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2014-10-23 |