| NPI | 1114278306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KIMBERLY ROSE Administrator 806-665-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |