| NPI | 1144834466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE THOMISON CEO 903-227-2876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |