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 |