| NPI | 1114925658 |
|---|---|
| Former Legal Business Name | SOUTH PLAINS HEALTH PROVIDER ORGANIZATION, INC. |
| Entity Type | Organization |
| Authorized Contact | RICK C LOVE CEO 806-293-8561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX F1756) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2009-02-19 |