NPI | 1093914392 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMBERLY L MCCOY Dr 270-926-1150 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2007-07-16 |
Last Update Date | 2023-06-14 |