| NPI | 1184594665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK M WEIR CEO 817-380-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |