| NPI | 1588767834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C DAVID GARVIN Physician 903-463-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX F9469) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA03416) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2011-04-12 |