| NPI | 1184162901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS TURNER Administrator 940-280-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117119) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX F0916) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |