NPI | 1922684307 |
---|---|
Entity Type | Organization |
Authorized Contact | TROUPER KRUEGER Cso Hhr 979-324-5456 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
207QA0401X Family Medicine, Addiction Medicine | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2021-03-24 |
Last Update Date | 2021-03-24 |