| NPI | 1275901340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WEBSTER Partner / Director Of Marketing 817-629-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P2012) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 617313) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |