| NPI | 1811303845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA K WEAVER President 214-378-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: TX 773834) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |