NPI | 1780855908 |
---|---|
Entity Type | Organization |
Authorized Contact | MAZAVETTE TURNER Administrator 281-260-6622 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 620452) |
Enumeration Date | 2008-03-15 |
Last Update Date | 2010-03-02 |