| NPI | 1568455673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI R TUCKER Office Manager 903-882-3194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H0424) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX H0425) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2016-04-27 |