| NPI | 1801782735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABOSEDE OKUWA OKUWA Owner 713-300-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |