| NPI | 1053241281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUCHI IJEOMA UWAJUMOGU Nurse Practitioner 469-355-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-05-20 |
| Last Update Date | 2026-06-25 |