| NPI | 1043351760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EL GRECO ROBERTS Vice President Of Business Affairs 214-372-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 578285) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-07-26 |