| NPI | 1609217868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DARREN STONE Owner/Physician 270-804-7408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2024-04-23 |