| NPI | 1831808427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CROWDER Director 832-454-9453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-12-06 |