| NPI | 1457071243 |
|---|---|
| Doing Business As | FAMILY PRACTICE AT WESLEY MEDICAL PLAZA SUITE E |
| Entity Type | Organization |
| Authorized Contact | STEVEN LEE BOLES CEO 903-408-1658 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |