NPI | 1639479314 |
---|---|
Entity Type | Organization |
Authorized Contact | LATONYA SINGLETON Fnp/Owner 281-804-2935 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 677215) |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2010-10-27 |
Last Update Date | 2019-12-11 |