| NPI | 1417361759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE TAYLOR Chief Executive / Cco 214-540-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2022-01-14 |