| NPI | 1225707342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAUREEN SALIM Owner 682-558-5993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2022-02-25 |