| NPI | 1033148887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWYNNE M. PALMORE Executive Director 903-891-1972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2025-05-21 |