| NPI | 1578225892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK PHILLIPS Office Manager 972-899-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |