| NPI | 1669166047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULISSA MARTINEZ Owner 214-856-6598 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-29 |