| NPI | 1700324761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHIA LANNETTE FEATHERSTON Pediatric Nurse Practitioner 469-363-7982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2024-09-19 |