| NPI | 1164468039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH KYLE ROZEAN Owner / Physician 806-794-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H1314) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |