| NPI | 1821625815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETRICE KAY MASON Nurse Practitioner/Owner 817-874-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2022-06-16 |