| NPI | 1124515879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LYNN HICKRESON President 903-592-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |