| NPI | 1467940759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID JAMESON Medical Director 817-265-9700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP136538) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |