| NPI | 1093062937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHAB I HANNA Owner 817-945-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2021-03-18 |