| NPI | 1023364049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BOOKOUT Owner 214-392-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 558572) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |