| NPI | 1508652140 |
|---|---|
| Former Legal Business Name | NASA PSYCHIATRIC CARE LLC |
| Entity Type | Organization |
| Authorized Contact | AGNES AONDO Director 817-386-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |