| NPI | 1538965348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DIXON Manager 214-985-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2026-03-18 |