NPI | 1063819142 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTOINETTE RENE NUNNELEY Owner 940-386-9334 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP110354) |
Enumeration Date | 2014-12-04 |
Last Update Date | 2014-12-04 |