| NPI | 1073663514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA KUCMIERZ Director 903-731-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2015-11-10 |