| NPI | 1780110148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE DELGADO Authorized Official 281-507-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2018-10-11 |