| NPI | 1821479106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E CALDWELL Owner 214-769-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 647888) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2021-08-24 |