| NPI | 1508307679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOSS MANSOORI Family Nurse Practitioner 214-553-5543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130793) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2018-01-25 |