| NPI | 1336619329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA R EVANS Owner/Provider 903-946-1261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-13 |