| NPI | 1841914736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE C WILSON Owner/CEO 817-910-8049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 251E00000X Home Health |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-09-26 |