| NPI | 1790123214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY RYAN Senior Consultant 866-863-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: TX 2012020488) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: TX 740228) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |