NPI | 1790262681 |
---|---|
Doing Business As | MIDSOUTH TRANSITIONS MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | COY WILLIAMSON President 903-733-3729 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
208100000X Physical Medicine & Rehabilitation | |
208D00000X General Practice | |
251E00000X Home Health | |
251F00000X Home Infusion | |
363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP115441) | |
133V00000X Dietitian, Registered | |
207P00000X Emergency Medicine | |
207QG0300X Family Medicine, Geriatric Medicine | |
Enumeration Date | 2018-07-24 |
Last Update Date | 2023-11-14 |