| NPI | 1174540876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN DANIEL Office Manager 903-356-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K0722) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-04-25 |