| NPI | 1356781686 |
|---|---|
| Doing Business As | VIA |
| Entity Type | Organization |
| Authorized Contact | ROBERT STRAYHAN Cheif Medical Officer 903-794-1636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX J5027) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR E-5611) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |