| NPI | 1144529579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE ELIZABETH MONDAY President 903-461-1874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K9358) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2013-08-26 |