NPI | 1235435892 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD C CARTER CEO 903-408-1605 |
Organization Subpart ? | Yes |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2011-01-31 |
Last Update Date | 2020-03-30 |