NPI | 1184297368 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN KHOURY Owner 580-775-2332 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 207Q00000X Family Medicine |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2021-07-23 |
Last Update Date | 2021-07-23 |