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 |