| NPI | 1568885044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA WAIRE Nurse Practitioner 281-216-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 749643) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |