| NPI | 1326968017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN ASHCRAFT Owner 817-798-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2026-07-21 |
| Last Update Date | 2026-07-21 |