| NPI | 1487778874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON LEIGH PATE Owner 325-670-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX H8310) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |