| NPI | 1598856551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVID CAIN Chief Operating Officer 817-975-4539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 363LG0600X) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |