| NPI | 1588943914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA WYNN Practice Manager 903-818-0473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX M6469) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2014-10-28 |