| NPI | 1417250960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE L RAGSDALE Administrator 903-872-3005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX N2930) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX G3521) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2012-03-07 |