| NPI | 1184482895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DAVIS Managing Partner 682-248-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2025-10-11 |