| NPI | 1053853663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA GOODSPEED Owner 210-827-1218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115987) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |