| NPI | 1659725026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BEAUCHAMP Partner 214-802-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP106313) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |