| NPI | 1629553698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA HARRIS Credentialing Specialist 713-970-1093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2020-08-31 |