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 |