| NPI | 1770873192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARTINEZ Sr. Gme Coordinator 817-927-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-05-17 |