| NPI | 1508136730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWATOYIN ADENIYI Healthcare Provider 469-951-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 640034) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |