| NPI | 1598126880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA ROLANDA GAMBOA BOLANOS Managing Member 972-366-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121789) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2020-12-17 |