NPI | 1295066280 |
---|---|
Entity Type | Organization |
Authorized Contact | JANA E BAXTER President 972-298-6174 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 666524) |
Enumeration Date | 2010-01-15 |
Last Update Date | 2010-01-15 |