| NPI | 1811088628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA HUNSUCKER Owner 281-723-9068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2021-09-17 |