| NPI | 1336311299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD STRATTON DOUGLAS Owner 903-831-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K9258) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K9258) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |