| NPI | 1134678485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONNIE C WILLIAMS Owner 214-796-2024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP131064) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP131064) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2018-10-03 |