| NPI | 1801841200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE C TIMM Anp/Member 281-222-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 599033) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 513451) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-06-18 |