| NPI | 1134464480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MCKENNA Director 432-685-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 235771) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |