| NPI | 1669725941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICA MALEIGH WYNN VELA Family Nurse Practitioner 832-632-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 717330) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2014-05-13 |