| NPI | 1902410715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ANNE FELTON Owner Of Entity 281-701-6022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-11-13 |