NPI | 1679540280 |
---|---|
Entity Type | Organization |
Authorized Contact | ERRICA L. BROWN Medical Staff COO Rdinator 214-590-1396 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
Enumeration Date | 2006-03-02 |
Last Update Date | 2020-08-22 |