| NPI | 1437806312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLEEN KAY WATSON Director 214-881-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |