| NPI | 1194078790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. MICHAEL KERLEY President/Owner 903-491-8470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X (Licence: TX G3515) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX G3515) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-22 |