| NPI | 1568091072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASHA BUSH BUTLER Owner Of Entity 409-351-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2023-01-26 |