NPI | 1518306661 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEMETA B BRADLEY President/COO 469-556-6061 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 163W00000X Registered Nurse |
164X00000X Licensed Vocational Nurse | |
Enumeration Date | 2013-06-21 |
Last Update Date | 2013-06-21 |