| NPI | 1710271325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY CHANDLER Owner/Operator 940-577-1557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA04190) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |