| NPI | 1972094977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE NEELY Owner 713-936-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 831578) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-10-30 |