| NPI | 1134369788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMONET BLANDO ABULOC President 214-714-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 364SG0600X Clinical Nurse Specialist, Gerontology | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |