| NPI | 1326386004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RANEE HARRIS CEO/Owner 972-304-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 625586) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2018-05-30 |