NPI | 1003932468 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE RICE Nurse Practioner 817-901-0160 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 585319) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2012-01-03 |