| NPI | 1225468747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY ASBILLE Clinic Administrator 903-748-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003958) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |