| NPI | 1619501715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA NOELIA ARMAS-KOLOSTROUBIS CEO 469-233-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2022-05-17 |