| NPI | 1508572959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE CAMERON Family Nurse Practitioner/Owner 903-747-8107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-12-06 |