| NPI | 1871985861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D GENERALE President 469-282-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2022-11-16 |