| NPI | 1821466764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE E HOLCOMB Manager 972-445-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 595938) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |