| NPI | 1376538801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS R TOLLESON President 903-595-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 363LF0000X Nurse Practitioner, Family | |
| 363AM0700X Physician Assistant, Medical | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2015-07-22 |