| NPI | 1518195122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN D PIERCE Owner 903-561-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |