| NPI | 1679578082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER F GRAY Owner 903-453-2901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX E7609) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2009-10-19 |