| NPI | 1164067393 | 
|---|---|
| Former Legal Business Name | GERIATRIC TELEMEDICINE AND ONCALL CONSULTANTS | 
| Entity Type | Organization | 
| Authorized Contact | PATRICIA DURHAM Adminstrator 806-441-6108  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner | 
| Enumeration Date | 2019-11-12 | 
| Last Update Date | 2020-09-24 |