| NPI | 1952287419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM D TUBBS Psychiatric Nurse Practitioner 972-812-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |