| NPI | 1871005736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANSEN NEMAT President 469-688-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2021-03-15 |