| NPI | 1285133512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARON TARAY PEEBLES CEO 915-532-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 121725) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2024-06-06 |