| NPI | 1720375777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UKACHI ONWERE FADAKA Director 832-466-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 570882) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |