NPI | 1326391947 |
---|---|
Entity Type | Organization |
Authorized Contact | IMMACULATA INYANG CEO 214-607-3650 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 808591) |
Enumeration Date | 2012-10-19 |
Last Update Date | 2013-04-15 |