| NPI | 1992247142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP HOWARD YEILDING Physician 903-328-6234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA00748) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |