| NPI | 1073022653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIZZY PRICE Adult Gero Nurse Practitioner 469-364-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-07-21 |