| NPI | 1609911494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DAVID RUSH CEO 903-794-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K8971) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-04-25 |