| NPI | 1952150435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA MARIE CEPEDA Owner 214-449-0274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-06-26 |