NPI | 1376747196 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES M GORDON Ofc Mgr 903-596-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX g7829) |
Additional Taxonomies | 174400000X Specialist (Licence: TX k4497) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2008-01-28 |