| NPI | 1649599556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE L RAGSDALE Administator 903-872-3005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX E2721) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2012-03-07 |