NPI | 1649416108 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGEORY N PAYNE President/Physician 903-235-5951 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX TX J5622) |
Enumeration Date | 2009-01-05 |
Last Update Date | 2009-01-05 |