| 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 |