NPI | 1427531128 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY KIRWAN Member 972-265-8101 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2018-09-10 |
Last Update Date | 2018-09-10 |