| NPI | 1033246103 |
|---|---|
| Other Name | INDEPENDENT PROVIDER |
| Entity Type | Organization |
| Authorized Contact | FRANK BOYD Family Medicine 979-574-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: TX M5645) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |