| NPI | 1851959472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRON ELAINE BALLARD President/Family Nurse Practitioner 469-877-3812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |