| NPI | 1174217947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HOLLINGSWORTH President/CEO 817-328-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |