| NPI | 1689569352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN BREEDLOVE Owner 903-947-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |