| NPI | 1487169538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENDALL LEE NORHTCUTT Managing Member 903-372-4112 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126102) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |