| NPI | 1871093146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA LOBO Owner 972-697-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP119846) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-14 |