| NPI | 1083089726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL HARRIS Physician Owner 214-754-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |