NPI | 1063200137 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN FULLER Executive Director Of Finance 979-436-0398 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2025-04-29 |
Last Update Date | 2025-04-29 |