| NPI | 1013382092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD MOIN UDDIN CEO 806-640-4872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |