| NPI | 1194153742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LYNN TYRA Nurse Practitioner/Owner 972-542-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 584873) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2014-06-30 |