| NPI | 1508574369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILOMENA C CUNNINGHAM Family Nurse Practitioner 469-988-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |