| NPI | 1598535718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN TAYLOR Family Nurse Practitioner 832-392-4933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207Q00000X Family Medicine | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-08-19 |