| NPI | 1255726139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA HORSLEY Supervising Physician 817-293-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX ap125495) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |