| NPI | 1962936369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH COLLINS Fnp 903-630-9170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133658) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2018-07-27 |