| NPI | 1689895864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ANN BRECKENRIDGE Director 214-724-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 242859) |
| Additional Taxonomies | 251E00000X Home Health |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 242859) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-10-20 |