NPI | 1114798154 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW PATRICK SHIELDS Practice Adminstrator 806-353-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2024-01-09 |
Last Update Date | 2024-11-05 |