NPI | 1629676754 |
---|---|
Doing Business As | BOAZ COMPLETE FAMILY CARE |
Entity Type | Organization |
Authorized Contact | TONI DORSETT Owner 817-480-9296 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
Enumeration Date | 2020-10-12 |
Last Update Date | 2021-08-05 |