| NPI | 1285422873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF LOVE Managing Member 469-607-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |