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 |