| NPI | 1942670401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUBUNMI OLUFUNKE KAZZIM Director 832-847-1527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP128920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-29 |