| NPI | 1952069908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP HOWARD YEILDING Physician's Assistant 903-815-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |