| NPI | 1821343765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A JACKSON President 832-971-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 673649) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |