| NPI | 1043358336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY S STEWART Owner Operator 806-744-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX J8790) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-02-15 |