| NPI | 1376280578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA DILLMAN CEO/Owner 817-354-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |