| NPI | 1598842502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE HAROLD MCCLURE President 936-639-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX D9561) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |