| NPI | 1093525206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAINA HERNANDEZ Nurse Practitioner 903-710-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-03-03 |