| NPI | 1659830479 |
|---|---|
| Doing Business As | JENPRUDENT HEALTHCARE LLC |
| Entity Type | Organization |
| Authorized Contact | MODESTA ONYIA Fnp 214-448-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |