| NPI | 1093307084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE FRANKL Manager 806-787-4032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2023-02-09 |