NPI | 1417160003 |
---|---|
Entity Type | Organization |
Authorized Contact | GENIE JONES Executive Director & CEO 903-255-0220 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-08-22 |