NPI | 1437506623 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID DEJESUS CEO 817-576-6665 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
207P00000X Emergency Medicine | |
207QG0300X Family Medicine, Geriatric Medicine | |
207RG0300X Internal Medicine, Geriatric Medicine | |
207RH0003X Internal Medicine, Hematology & Oncology | |
163WH0200X Registered Nurse, Home Health | |
225100000X Physical Therapist | |
251E00000X Home Health | |
251F00000X Home Infusion | |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2016-05-18 |
Last Update Date | 2020-12-03 |