| NPI | 1083059505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA JACOB-PARAYIL President 972-809-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 685930) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-19 |