| 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 |