| NPI | 1790221505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIDOL LOPEZ Office Manager 832-838-4031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: TX AP123663) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2025-10-15 |