| NPI | 1861947608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE JOHNSON Owner 469-585-4246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131223) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2024-09-30 |