NPI | 1790274462 |
---|---|
Doing Business As | NEDERLAND AVE FAMILY WELLNESS |
Entity Type | Organization |
Authorized Contact | ASHLEY MORGAN Owner 409-344-9935 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K7946) |
Enumeration Date | 2018-05-08 |
Last Update Date | 2018-08-08 |