| NPI | 1558848259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA NOWELL Nurse Practitioner 469-857-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP133030) |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |