| NPI | 1750006185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEEBA DANIEL Family Nurse Practitioner 214-501-3162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2023-04-27 |