| NPI | 1275994824 |
|---|---|
| Doing Business As | ALTOTHS |
| Entity Type | Organization |
| Authorized Contact | ANNE E SHIELDS Director, Sole Proprietor 903-475-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: TX AP110100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP110100) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2023-10-05 |