| NPI | 1053616227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH S MCKNIGHT Owner 817-770-7805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 531803) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2013-01-15 |