NPI | 1700397882 |
---|---|
Doing Business As | YOUR HEALTHCARE |
Entity Type | Organization |
Authorized Contact | TRACY ROCHELLE WINDHAM Fnp C 972-587-6080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121869) |
Enumeration Date | 2017-10-17 |
Last Update Date | 2024-09-26 |