| NPI | 1114953767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL W RODGERS Physician President 903-839-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-08-16 |