| NPI | 1942705272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE OKORONKWO CEO 469-569-8665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122083) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |