| NPI | 1366743643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER ALLEN Management Service Operation 903-596-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 714451) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |