| NPI | 1982924239 |
|---|---|
| Doing Business As | PCA-C |
| Entity Type | Organization |
| Authorized Contact | LINTON KOGER Medical Director 903-408-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-15 |