| NPI | 1386638468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA C REEVES Credentialing Coordinator 903-291-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207Q00000X Family Medicine | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2009-02-05 |