| NPI | 1700208055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY A KNIGHTON Owner 903-838-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 595495) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-08 |