| NPI | 1013248376 |
|---|---|
| Doing Business As | IDABEL PRIMARY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | RAY B WHITMORE Chief Financial Officer 580-208-3104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |