| NPI | 1528795317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J HARRIS Owner 903-306-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2024-01-05 |