| NPI | 1023486057 |
|---|---|
| Other Name | BHVH HOUSE PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | JULIUS C WICKE CFO 214-820-0670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2016-01-07 |