| NPI | 1942940812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYLA SEWELL Owner 214-843-0713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2024-06-12 |