| NPI | 1003319112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBIE JOYCE CHERIAN Owner/Administrator 469-826-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 640999) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |