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 |