| NPI | 1366133118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER N CARMODY Owner 903-803-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant |
| 176B00000X Midwife | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 363LF0000X Nurse Practitioner, Family | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-04-16 |