| NPI | 1265175624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL JONES Owner 214-244-9452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |