NPI | 1619697877 |
---|---|
Entity Type | Organization |
Authorized Contact | REMI THOMAS Owner 972-999-3593 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-08-29 |
Last Update Date | 2022-09-07 |