| NPI | 1114783933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK LEBLANC Owner 469-964-4902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 164X00000X Licensed Vocational Nurse | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-03-14 |