| NPI | 1457136582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN COLLEEN WILLBANKS Ap RN 817-646-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |