| NPI | 1255773701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA L SCHWARTZ VP Tax 972-201-3819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2019-11-13 |