NPI | 1265781710 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY J BYRNE Owner 214-712-2790 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-08-30 |
Last Update Date | 2012-08-30 |