| NPI | 1013293083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA V WURMSTEIN Fnp C 469-471-5964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 642845) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX kv648) |
| Enumeration Date | 2011-10-22 |
| Last Update Date | 2011-10-22 |