| NPI | 1083990808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTNEY YOUNG Nurse Practitioner 903-927-6140 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: TX 775544) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |