| NPI | 1982024766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JOYCE NELSON Principal/Owner 817-897-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 632193) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-08-07 |