| NPI | 1336340777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY ROSS Chief Medical Officer 903-334-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: OK 13698) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |