| NPI | 1518290469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH GREER Owner 214-428-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 245458) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 245458) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 245458) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |