| NPI | 1558995753 |
|---|---|
| Doing Business As | MISSION HEALTH LIFESTYLE AND WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTHA DENISE MOURNING CEO 432-889-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |