| NPI | 1881793982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN STREIFERD Director Of Operations 817-578-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LG0600X Nurse Practitioner Gerontology | |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |