| NPI | 1003099235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH RONALD DORITY Supervising Physician 903-447-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: TX K0722) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2012-10-17 |