| NPI | 1831406842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN JEAN REMENCHIK Sole Member 903-553-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX G8366) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2012-01-17 |