NPI | 1659018604 |
---|---|
Entity Type | Organization |
Authorized Contact | LILIAN MELVIS EVERTS Owner/Provider 832-922-3201 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
251B00000X Case Management | |
Enumeration Date | 2022-05-19 |
Last Update Date | 2023-11-14 |