| NPI | 1144490442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W THETFORD Physician/Owner 806-884-9943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L5585) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2020-04-08 |