| NPI | 1154631240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MARY HINES Owner 940-390-6257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 683105) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 582775) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |