| NPI | 1164699427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MCRAE Director 214-382-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 651728) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |