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 |