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 |