| NPI | 1346079704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRINGTON PHILLIPS ALTENBERN Sole Owner, Auth Official 737-703-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |