| NPI | 1215485719 |
|---|---|
| Doing Business As | REGEN CLINIC OF WEST TEXAS |
| Entity Type | Organization |
| Authorized Contact | ALISON ISRAEL Office Manager 432-203-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |