| NPI | 1972360618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RICHMOND Owner 903-771-7503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |