| NPI | 1912902826 |
|---|---|
| Doing Business As | SMSC |
| Entity Type | Organization |
| Authorized Contact | JANIE MCMILLION Physician Clinic Administrator 254-968-6051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX NA) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX NA) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207U00000X Nuclear Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2014-11-03 |