| NPI | 1053624965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORAYA D FLETCHER Administrator 940-387-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 638551) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |