| NPI | 1255087672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUETTE SHANTEE THOMASRUFUS CEO 903-921-2185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP0904X Clinic/Center, Public Health, Federal | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |