| NPI | 1659746675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAYINKA AGBODO Family Nurse Practitioner 832-745-8742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| 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 |