| NPI | 1154603256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E STEVENS Owner 214-219-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 552592) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |