| NPI | 1144311358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CASANOVA Physician 806-467-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G4900) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX G4900) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-17 |