| NPI | 1477989812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH RICHARDSON Billing Supervisor 214-472-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 690188) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2015-05-07 |