| NPI | 1124512256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI LEE MITCHELL Billing/Office Manager 214-542-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: TX 02598590) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |