| NPI | 1497180905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ONWUELEZI President 469-366-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2019-12-05 |