| NPI | 1093808842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN LABRIE Administrator 940-689-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX K6804) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-10-23 |