| 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 |