| NPI | 1295016152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON MARTIN O'NEAL President 903-439-4408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: TX E2769) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2013-04-22 |