| NPI | 1174653851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE HARVEY OLSON Executive Director 806-795-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX E6784) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX L9072) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX F3836) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX G2800) | |
| 225100000X Physical Therapist (Licence: TX 654240000) | |
| 225X00000X Occupational Therapist (Licence: TX 555410000) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2015-06-22 |