NPI | 1992291462 |
---|---|
Entity Type | Organization |
Authorized Contact | ALERO OBIANYOR WATERHOUSE Director 832-722-1618 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP118306) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2018-07-07 |
Last Update Date | 2019-03-14 |