NPI | 1609698455 |
---|---|
Entity Type | Organization |
Authorized Contact | KARAN STAGGERS CEO 214-862-5756 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2024-10-31 |
Last Update Date | 2024-10-31 |