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 |