| NPI | 1730726316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBI BRIDGES Owner/Nurse Practitioner 214-505-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2024-11-07 |