Entourage Apparel & Accessories, LLC

NPI #1205588076 in League City, Texas

Provider Information

NPI Number
1205588076
Entity Type
Organization
Organization Name
Entourage Apparel & Accessories, LLC
Primary Specialty
Family Medicine
Enumeration Date
Jan 24, 2022
Last Updated
Mar 7, 2022

Practice Location

Address
1101 W MAIN ST STE F
State
Texas
ZIP Code
77573-2039
Phone
(281) 849-7979

Authorized Official

Name
KIAWANA PRIESTLEY, FNP
Title
APRN-C
Phone
(832) 221-6827

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Family Medicine

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