| 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 |