| NPI | 1932824539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LIPINSKI Owner 832-409-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |