| NPI | 1659651701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL HEDTKE Managing Member 817-891-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2024-06-26 |