| NPI | 1639592009 |
|---|---|
| Doing Business As | NMBS |
| Entity Type | Organization |
| Authorized Contact | ALICIA N WATSON Co Owner 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |