| NPI | 1306077888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA GAIL WALKER Member 940-631-5428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 574045) |
| Enumeration Date | 2009-08-02 |
| Last Update Date | 2009-08-02 |