| NPI | 1902090129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN TOMPKINS Office Manager 903-577-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX D4869) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 603779) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |