| NPI | 1417730631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA WILLIAMS Nurse Practitioner 214-945-3702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |