| NPI | 1952462475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G HILTON Associate Administrator 662-615-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 11-269) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |