NPI | 1093206302 |
---|---|
Entity Type | Organization |
Authorized Contact | TERI LEE CURINGTON Owner 903-738-1479 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP127902) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-05-22 |