| NPI | 1184233785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY TYLER WALKER CFO 325-670-2182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2024-06-11 |