NPI | 1629359849 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNIE EVANS President 281-451-4654 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: TX H5705) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX H5705) |
363L00000X Nurse Practitioner (Licence: TX H5705) | |
Enumeration Date | 2011-09-01 |
Last Update Date | 2012-01-25 |