| NPI | 1518983261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH DEE TOMLINSON Physician/President 936-597-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H4748) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2010-02-01 |