| NPI | 1760128995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET RENE KEAIS Medical Director 903-830-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-08-15 |