| NPI | 1437588142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHALIA JACKSON BUTLER Co CEO/Founder 214-277-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 715590) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 251J00000X Nursing Care | |
| Enumeration Date | 2013-11-03 |
| Last Update Date | 2014-07-24 |