| NPI | 1073907184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GIVENS CEO 903-806-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L1053) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2026-09-02 |