| NPI | 1912907353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL CONOVER Administrator 903-592-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX 207R10200X) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2008-04-02 |