| NPI | 1154591212 |
|---|---|
| Doing Business As | WESTLAKE PRIMARY CARE NP GROUP |
| Entity Type | Organization |
| Authorized Contact | REX A TUNGATE CEO 270-384-4753 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |