| 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 |