| NPI | 1699708362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PAIGE LAWRENCE Division VP 682-432-0459 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 245713) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-07-28 |