| NPI | 1669650511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN C NEWTON Manager 903-553-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 4021) |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2008-02-02 |