| NPI | 1497860449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY MAE BANKHEAD President 903-526-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX H8527) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H9769) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |