| NPI | 1780782672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ELMO PRATER Md President 254-559-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G8349) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-12-12 |