| NPI | 1790061315 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL & MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | ESTHER AKUNNA EKE-HUBER Nurse Practitioner 281-920-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 801287323) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2024-05-13 |