| NPI | 1639507064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHARINE NFORMANGUM Nurse Practitioner 832-660-7280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 747302) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2018-06-20 |