| NPI | 1164803623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA JEAN COLEMAN Registered Nurse 469-406-8797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local (Licence: TN RN000068705) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2016-01-02 |