| NPI | 1609426832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON JAMES MORAN President 936-203-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363AM0700X Physician Assistant, Medical | |
| 163W00000X Registered Nurse | |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |