| NPI | 1346551959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CALAME HABERN Assistant Director Healthcare Admin 903-261-7234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 261QS1000X Clinic/Center Student Health | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-07-30 |