| NPI | 1023815214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMATRIA HOLBROOK CEO/ Founder 817-915-6053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |