NPI | 1508563578 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER GRAYSON Nurse Practitioner/Owner 817-661-8197 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2023-02-10 |
Last Update Date | 2023-09-13 |