| NPI | 1366788739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA WATSON Office Manager 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2019-08-16 |