| NPI | 1760855258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGETTE KIBBE HERRING Nurse Practitioner 979-599-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2025-11-19 |