| NPI | 1982034476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RANEE HARRIS Cnm, Fnp C 972-304-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 625586) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 625586) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |