| NPI | 1538442603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY STUBBLEFIELD Lab Director 972-295-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2022-02-23 |