| NPI | 1316827504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERYL THOMPSON Owner/Family Nurse Practitioner 903-393-3594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-09-06 |
| Last Update Date | 2025-09-30 |