| NPI | 1205108032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W MITCHELL President/Owner 254-554-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F8247) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-05-21 |