| NPI | 1639595234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMAN POSTLE Manager 972-616-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 848848) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 694694) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |