| NPI | 1942412457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEL S PERRY President 817-249-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J6652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 533712) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-03-20 |