NPI | 1669702585 |
---|---|
Entity Type | Organization |
Authorized Contact | R ANTON LESTER Physician 903-592-8101 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F3204) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L7322) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 607316) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 681561) | |
Enumeration Date | 2009-12-29 |
Last Update Date | 2011-10-05 |