| NPI | 1457710840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PAIGE DUGAN Managing Member 432-559-8757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119187) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |