| NPI | 1366108151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN OKUNOGHAE Owner 469-251-8772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-12-30 |