| NPI | 1740686526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL V. MITTEN Owner 713-453-8531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126430) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |