| 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 |