| NPI | 1831689629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLEEN HOANG Owner/Nurse Practitioner 682-558-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124279) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |