| NPI | 1689205718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY P HASTINGS Owner 214-396-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |