| NPI | 1588537278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE ASHTON BARR Owner, Pediatric Nurse Practitioner 903-880-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |