NPI | 1659746675 |
---|---|
Entity Type | Organization |
Authorized Contact | OLAYINKA AGBODO Family Nurse Practitioner 832-745-8742 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128483) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP130092) | |
Enumeration Date | 2015-12-02 |
Last Update Date | 2018-06-26 |