| NPI | 1326475153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA AHOUNOU Nurse Practitioner 817-896-3547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 692426) |
| Enumeration Date | 2013-10-12 |
| Last Update Date | 2015-12-11 |