| NPI | 1821967829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA S MCCANTS Administrator 832-562-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-30 |