| NPI | 1669719498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MONTGOMERY Owner, Staff Doctor 903-787-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 12201) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2016-03-10 |