| NPI | 1407188667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH G RICE Owner 817-908-1218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 589114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 585319) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |