| NPI | 1477091452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUBIN Supervisor 214-648-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 701376) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |