NPI | 1457598757 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY L TENISON CEO 469-387-8025 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: TX 558735) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2023-06-21 |