| NPI | 1417570003 |
|---|---|
| Doing Business As | DESIRE TO LIVE NOW, LLC |
| Entity Type | Organization |
| Authorized Contact | TRACEY SUSANNE MIXON Owner 512-643-3631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2024-09-23 |