| NPI | 1396074332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ETTA Chief Executive Officer/Owner 972-900-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 662521) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2010-07-16 |