NPI | 1972529469 |
---|---|
Doing Business As | PRIDE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | ASHLEY WHATLEY Nurse Practitioner 512-379-7272 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
363L00000X Nurse Practitioner (Licence: TX 669894) | |
Enumeration Date | 2006-07-15 |
Last Update Date | 2023-12-18 |