| NPI | 1184242174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RETTIG CEO 903-705-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |