| NPI | 1437882792 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BLESSINGS FANKA Dnp C/ Nurse Practitioner 214-394-0114  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology | 
| Enumeration Date | 2022-07-05 | 
| Last Update Date | 2022-07-05 |