| NPI | 1407422652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE MCWHORTER Business Manager 903-456-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-05-28 |