| NPI | 1871270124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYNN DORMAN Owner/Family Nurse Practitioner 432-978-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |