| NPI | 1528063534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD W HEINE Ce0 903-676-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX E7871) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M0239) |
| 207Q00000X Family Medicine (Licence: TX G3099) | |
| 207Q00000X Family Medicine (Licence: TX J4022) | |
| 207Q00000X Family Medicine (Licence: AR C5043) | |
| 207Q00000X Family Medicine (Licence: TX G1367) | |
| 207Q00000X Family Medicine (Licence: TX G2988) | |
| 207Q00000X Family Medicine (Licence: TX H6314) | |
| 207Q00000X Family Medicine (Licence: TX L1095) | |
| 207Q00000X Family Medicine (Licence: TX E4479) | |
| 207Q00000X Family Medicine (Licence: TX F6042) | |
| 207Q00000X Family Medicine (Licence: AR C4956) | |
| 207Q00000X Family Medicine (Licence: TX L0856) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-08-22 |