| NPI | 1346424819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK A. NICHOLS President 662-842-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 07430) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-01-07 |