NPI | 1801114970 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE ANN LYONS President/CEO 214-535-7586 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 612479) |
Enumeration Date | 2010-05-13 |
Last Update Date | 2022-04-20 |