| NPI | 1073698585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA GAIDO ROPER Partner 903-894-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 226114) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-01-17 |