| NPI | 1265721401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY DALE WOODARD Medical Doctor 903-566-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX H8527) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-05-19 |