| NPI | 1356738488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE WILLIS Nurse Practitioner 214-491-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP115180) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2023-11-29 |