| NPI | 1659631364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PERRIO SCOTT Office Manager 409-729-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 669429) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2024-01-26 |