NPI | 1811235674 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMECKA KNIGHT Owner 281-979-2112 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 20030764) |
Enumeration Date | 2013-01-29 |
Last Update Date | 2014-06-16 |