| NPI | 1679102313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAROLYN KAY DIHIGO Nurse Practitioner 214-478-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2020-04-04 |