| NPI | 1568155885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANA JACKSON Nurse Practitioner 281-918-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2024-03-26 |