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 |