| NPI | 1568733251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER B COLLINS Owner 903-595-2643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX E4263) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |