| NPI | 1437831534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELISHIA LENETTE WILLIAMS-NELSON Administrator 469-245-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) |
| 261Q00000X Clinic/Center | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 291U00000X Clinical Medical Laboratory | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-09-13 |