| NPI | 1881388577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSUNMOLA O RUFAI Authorized Official 832-606-6437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |