| NPI | 1598931636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY J GUILLORY President 409-755-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 619053) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-14 |