| NPI | 1699391003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELINE JONES Owner 214-935-5791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |