| NPI | 1871922310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE EDWARD SHAW President 903-957-7429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX E2856) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |