| NPI | 1902495799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INEMESET SAMPSON Owner 281-683-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2023-02-10 |