| NPI | 1881443547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLYE M TAYLOR Office Manager 469-719-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |