| NPI | 1356593545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH COX Owner 731-668-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN8135) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |