| NPI | 1215474465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI S AARON CEO 903-227-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| 207L00000X Anesthesiology | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2023-08-29 |