| NPI | 1922560184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS FARRAR Director Of Operations 817-657-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |