| NPI | 1073708863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SMITH Office Manager 580-248-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2011-02-23 |