NPI | 1659510428 |
---|---|
Doing Business As | LIGHTYEAR HEALTH |
Entity Type | Organization |
Authorized Contact | DARIUS N CLARKE Owner 512-937-9168 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
363LG0600X Nurse Practitioner, Gerontology | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2009-02-18 |
Last Update Date | 2021-12-03 |