| NPI | 1346009693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN TURNER Manager 817-798-0192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-24 |