| NPI | 1932141264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R JOHNSON Owner 903-670-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-03-06 |