| NPI | 1952607533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA BEISEL Provider 325-655-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: TX 730404) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |