| NPI | 1821729781 |
|---|---|
| Former Legal Business Name | OLIVE HEALTH AND WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | AUGUSTINA JOEL Administrator 713-909-6953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2024-09-24 |