NPI | 1568906873 |
---|---|
Entity Type | Organization |
Authorized Contact | MICA MALEIGH WYNN VELA Nurse Practitioner, Owner 832-724-4283 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP122501) |
Enumeration Date | 2016-12-06 |
Last Update Date | 2016-12-06 |