| NPI | 1871096388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE EVANS Office Manager 832-879-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 2083A0100X Preventive Medicine, Aerospace Medicine | |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2018-03-12 |