| NPI | 1013369024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTAY PARKER Owner/Provider 817-562-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP130426) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 808428) |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00501) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |