| NPI | 1861947608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE JOHNSON Owner 469-257-3500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131223) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2025-11-07 |