| NPI | 1043360662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY A FLARITY Practice Administrator 903-927-6803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |