NPI | 1063400778 |
---|---|
Entity Type | Organization |
Authorized Contact | KRIS KAVASCH VP Finance/CFO 903-877-7399 |
Organization Subpart ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2005-10-07 |
Last Update Date | 2019-06-27 |