| NPI | 1073815932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN S. MCDANIEL Administrative Secretary 903-248-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TX D-5133) |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine (Licence: TX D-5133) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |