| NPI | 1477968055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG BYRNE President 214-712-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2015-06-24 |