| NPI | 1336788355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CHAD JONES Chief Executive Officer 903-758-2610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2025-08-26 |