| NPI | 1447052816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN STEACH Nurse Practitioner 817-242-6059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-04-18 |