| NPI | 1073270724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOHPER M BURLING Physician 903-575-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363A00000X Physician Assistant | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |