| NPI | 1093025751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZANA ELLIOTT Sole Mbr 903-941-0786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 738885) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |