NPI | 1417289380 |
---|---|
Doing Business As | TEXARKANA FAMILY PRACTICE PA |
Entity Type | Organization |
Authorized Contact | GIGI CULBERSON Credentialing Manager 903-793-0122 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2010-02-03 |
Last Update Date | 2010-02-03 |