NPI | 1770375891 |
---|---|
Entity Type | Organization |
Authorized Contact | LEA TCHATO Nurse Practitioner/Owner 817-680-0901 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2025-05-22 |
Last Update Date | 2025-05-22 |