| NPI | 1043663115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LYNN HARRIS Owner/ Provider 903-223-5931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K0147) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 613479) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |