| NPI | 1639450018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERMAINE BERNARD HAWKINS Medical Director 682-521-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX l3329) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10856) |
| 208D00000X General Practice | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2019-01-07 |