| NPI | 1619913167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE M NGUYEN Pediatric Nurse Practitioner 409-861-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |