| NPI | 1164982443 |
|---|---|
| Other Name | STACEY MICHELIN |
| Entity Type | Organization |
| Authorized Contact | STACEY MICHELIN Office Manager 806-626-3760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-04-04 |