| 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 |