| NPI | 1194405308 |
|---|---|
| Doing Business As | RESTORE FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KENDALL M PHILLIPS Owner/Operator 580-982-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-08-17 |