| NPI | 1164759601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAIYAVONG SAENPHANSIRI Np 615-849-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014210) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2010-01-25 |