| NPI | 1962679530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE CAMPBELL Owner 972-424-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 679911) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2012-05-18 |