| NPI | 1013494616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA WATSON Partner 817-371-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |