| NPI | 1760849558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK LOVE-JONES Owner 469-660-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP125430) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-05-11 |