| NPI | 1861521825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LEN MAPLES Family Physician 254-631-0544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J0090) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-01-30 |