| NPI | 1831588763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD CALHOUN Owner 817-405-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 698507) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |