| NPI | 1225532682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA ADAMS Owner 972-740-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-08-05 |