| NPI | 1891009007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A JACKSON Nurse Practitioner 281-988-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: TX 673649) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2012-07-30 |