| NPI | 1841514445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE DOYLE HAYNES Owner/President 936-699-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX E3705) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-09-10 |