| NPI | 1417055005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H. LEE Partner 903-595-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-09-11 |