| NPI | 1760872675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE I MAYEN NUNEZ President 281-332-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |