NPI | 1053645838 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTA G WILLOUGHBY President 432-218-8880 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TX M2204) |
Enumeration Date | 2009-09-25 |
Last Update Date | 2009-09-25 |