NPI | 1992165393 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP BLAINE HAMBY Family Nurse Practitioner 940-442-6455 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 728078) |
Enumeration Date | 2016-02-26 |
Last Update Date | 2022-07-21 |