NPI | 1740748813 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY KABURU Family Nurse Practitioner 832-855-2696 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2019-03-07 |
Last Update Date | 2023-10-16 |