| NPI | 1427452549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOYCE J. GRAHAM Owner 254-718-5328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX J1483) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |