| NPI | 1902021157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERN ODEAN LAING President Owner 903-870-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: TX H9363) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2020-08-22 |