| NPI | 1437020906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORA THOMPSON Owner, Nurse Practitioner 682-597-2556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2026-01-23 |