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 |