| NPI | 1235445123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH UDABOR Owner/Practitioner 972-740-5830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 723945) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 723945) |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2023-02-01 |