| NPI | 1013363274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE LEWTHWAITE Partner 972-762-4952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-08-17 |