| NPI | 1174360556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLIA TERRELL Operations Director 469-899-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 251E00000X Home Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-09-08 |