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 |