NPI | 1700434859 |
---|---|
Doing Business As | THEORY HEALTH MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | STEPHANIE ALISA ZAMORA Administrator/Clinician 979-297-3387 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2019-09-02 |
Last Update Date | 2020-09-02 |