| NPI | 1043380637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ELLEN MCNEIL Pediatric Nurse Practitioner 214-456-7271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 583588) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |