| NPI | 1467573311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY ROBINS Executive Director 972-436-7962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 174400000X Specialist |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2023-07-11 |