| NPI | 1851764963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE WYNNE Credentialing 432-686-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2022-03-04 |