| NPI | 1831349349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECE J PANNELL Office Manager 817-294-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 25876) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |