| NPI | 1417034745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE FRANCES NELLUM Family Nurse Pactitione Certified 214-398-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 528675) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-10-09 |