| NPI | 1508474131 |
|---|---|
| Doing Business As | OPAL HEALTHCARE & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MICHAELA KLOSE Ap RN Fnp Bc, Authorized Official 214-293-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-03-05 |