| NPI | 1205120896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS STRITTMATTER Presiden/CEO 817-681-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 710685) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |