| NPI | 1942677695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY RAINS President/Provider 940-365-9248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123559) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |