| NPI | 1811102981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA WOMACK Co Owner 903-783-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 629913) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 227977) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2010-07-08 |