| NPI | 1902785587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARESAH HARRIS Owner 832-612-6875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-10-03 |