| NPI | 1396059564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY RETA FIELDSMITH Owner 214-232-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: TX 604243) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-08-05 |