| NPI | 1326071788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW STEPHEN YOUNG President 903-614-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-09-13 |