| NPI | 1255212205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA RANGEL Nurse Practitioner 817-623-4245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-10 |