| NPI | 1174556187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY CRAWFORD Administrator 806-665-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-08-22 |