| NPI | 1922820380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMUNDA JONES Proivider 817-797-7852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |