| NPI | 1831915354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRIA BERNESTINE Owner 972-522-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251F00000X Home Infusion | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-11-30 |
| Last Update Date | 2024-11-30 |