| NPI | 1033376744 |
|---|---|
| Doing Business As | MEMORIAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEVIN BRENT STACKS Sole Member 903-892-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX K7908) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2010-03-15 |