| NPI | 1740789742 |
|---|---|
| Other Name | FORTITUDE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JENNA MARTIN Co Owner 972-837-9527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TX 803475) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |