| NPI | 1083059505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA JACOB-PARAYIL President 972-809-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 685930) | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2025-04-28 |