| NPI | 1285135665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN MICHAEL LOWERY Owner/Member 903-258-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L3383) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |