| NPI | 1164683298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE E WEBSTER Owner/CEO 254-690-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX E5982) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-11-24 |