| NPI | 1811424708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYNA OMENUKOR CEO 972-576-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-07-21 |