Organization
ADULT & GERIATRIC WHOLISTIC HEALTH LLC
Active
Other names
Adult & Geriatric Wholistic Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA Z MBOLA NP (MANAGER)
(832) 908-8136
Entity
Organization
Contact information
Practice address
647 S MARATHON WAY, STAFFORD, TX 77477-5841
(832) 908-8136
Mailing address
647 S MARATHON WAY, STAFFORD, TX 77477-5841
(832) 908-8136
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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