| NPI | 1326481151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY C RICARD Owner 903-723-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1811) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P1811) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |