| NPI | 1376589408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W RICHARDSON President 940-627-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2023-05-08 |