| NPI | 1780566778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A NEWTON Owner 214-810-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 171000000X Military Health Care Provider | |
| 208D00000X General Practice | |
| 363LX0106X Nurse Practitioner, Occupational Health | |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |