| NPI | 1871973511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BANASIAK Owner 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |