| NPI | 1013468867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL K DRYER Medical Administrative Secretary 915-215-5419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP131725) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |