| NPI | 1457339525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY MCMAHON Administrator 325-949-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207L00000X Anesthesiology | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2018-12-05 |