| NPI | 1164863783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEANN GILLAM Program Administrator 254-724-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TX 2086s0122x) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |