Organization Name: | PATIENTS FIRST FAMILY CLINIC |
NPI Number: | 1083089080 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA OWOLABI (FAMILY NURSE PRACTITIONER) |
Mailing Address: | 3603 Front St Suite: 102- 103 Brookshire |
State: | TX US |
Postal Code: | 774239845 |
Phone Number: | 2813468144 |
Fax Number: | |
NPI Enumeration Date: | 12/02/2015 |
NPI Last Update Date: | 12/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | AP 123161 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |