| NPI | 1003251489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H. DORAN Physician 432-333-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX E0890) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |