| NPI | 1720623192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE UKOR President 713-909-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2024-11-23 |