| NPI | 1851745558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON KOURI Owner 817-527-1492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 225100000X Physical Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2025-05-21 |