NPI | 1689621237 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID GLENN REYNOLDS President/Provider 903-893-7170 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX H6541) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX H6541) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2007-08-15 |