| NPI | 1346862406 |
|---|---|
| Former Legal Business Name | TL FAMILY NURSE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | TARA BEGAY Np 480-652-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-06-30 |