| NPI | 1306114277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L LUCAS Owner 972-875-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 517664) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |