| NPI | 1437380953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN BREEDLOVE Family Nurse Practitioner 903-241-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 691969) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |