| NPI | 1609550219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRIA BERNESTINE Owner 972-522-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 251F00000X Home Infusion | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-01-08 |