| NPI | 1467765529 |
|---|---|
| Doing Business As | TRAVELING PHYSICIAN NETWORK |
| Entity Type | Organization |
| Authorized Contact | VICKI B. DAVIS Medical Director 972-377-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F9213) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX F9213) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX F9213) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |