NPI | 1528218740 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WAYNE MCKINLEY M.D./Owner 903-780-4871 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX H4539) |
Enumeration Date | 2008-09-24 |
Last Update Date | 2011-01-05 |