| NPI | 1144488701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A SMITH Md 325-641-8839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX J9812) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |