| NPI | 1023465861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISELOTTE ADDEA-AMOAKO Director 817-813-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123379) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2020-07-24 |