| NPI | 1902483548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HERNANDEZ Owner 903-868-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-03-29 |