| NPI | 1447680178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEENA PAUL Nurse Practitioner 469-252-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 733997) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2019-07-25 |