NPI | 1518467976 |
---|---|
Entity Type | Organization |
Authorized Contact | RHODA STEVENS Family Nurse Practitioner 817-612-1551 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2018-02-12 |
Last Update Date | 2023-10-07 |