| NPI | 1730714866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C CANNON Owner 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-05-15 |