| NPI | 1922352541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY INCAVO Authorized Official 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2014-08-19 |