NPI | 1649067661 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA WILLIAMS Manager 281-703-7795 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2025-04-23 |
Last Update Date | 2025-04-23 |