| NPI | 1851184881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY COMBS Founder / COO / Cmo 469-834-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-11-14 |