NPI | 1134538895 |
---|---|
Former Legal Business Name | WAS HOLDINGS, PLLC |
Entity Type | Organization |
Authorized Contact | GALYNN L JAMES Am 903-576-2355 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP126149) |
Additional Taxonomies | 207R00000X Internal Medicine |
364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX AP126149) | |
Enumeration Date | 2014-08-07 |
Last Update Date | 2025-07-09 |