NPI | 1225453921 |
---|---|
Entity Type | Organization |
Authorized Contact | GAUDENSIA AWUOR CEO/Manager 817-903-7723 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F0312145) |
Enumeration Date | 2014-03-04 |
Last Update Date | 2014-03-04 |