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 |