| NPI | 1245812361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL LASHAY MADZIMA Owner 214-669-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2023-03-07 |