| NPI | 1013187228 |
|---|---|
| Doing Business As | WESTLAKE PRIMARY CARE PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | REX A TUNGATE CEO 270-384-4753 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |