| NPI | 1497269013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEA KRTALIC Fnp Bc 806-676-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129163) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |