| NPI | 1891010310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L. REYNOLDS Managing Partner 903-791-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX 800290929) |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2017-12-13 |