| NPI | 1750628848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE LOOP Authorized Official 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2014-08-15 |