| NPI | 1457094690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA ANN BOLDEN Family Nurse Practitioner 469-320-1947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2024-09-10 |