NPI | 1083663363 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT MAGERS Assistant Dean Finance Admin 806-743-1830 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-05-06 |
Last Update Date | 2022-03-07 |