| NPI | 1710312509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL DAN BEMBRY Owner 1423-526-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000011921) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-17 |