| NPI | 1770120750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE NICOLE STARKEY Family Nurse Practitioner 903-520-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |