NPI | 1306007364 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY H. EBERHART Owner/Provider 940-382-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 518137) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2009-03-24 |