NPI | 1033617899 |
---|---|
Entity Type | Organization |
Authorized Contact | LAMEA HORTON Chief Executive Officer 972-685-2494 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2018-01-26 |
Last Update Date | 2020-07-22 |