| NPI | 1982439436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UDOKA C CHUKWUOCHA Owner 512-213-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2025-03-19 |