| NPI | 1679638126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CRAFT Group Finance Officer 214-346-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 000431) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-11-11 |