| 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 |