| NPI | 1356772560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALTONSMITH MCKINNEY Provider 254-245-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX N3174) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2014-05-20 |