| NPI | 1629967500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISETTIA MORGAN CEO 682-352-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |