| NPI | 1558466276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRIXIE DIANE NEWKIRK Owner 972-279-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX I16636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX G4442) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 542807) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |