| NPI | 1336637123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANBARASU NACHIMUTHU CEO 903-870-2745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-09-25 |