| NPI | 1982658464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX J SMITH Owner 903-295-1396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 660010000) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-08-28 |