| NPI | 1881957819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARTER J MOORE Owner/Physician 903-572-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX H6448) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX H6448) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2019-01-02 |