| NPI | 1700628294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULOMA CHIAKWELU Administrator 832-423-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |