| NPI | 1215641246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE MILLER Administrator 806-701-5858 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-13 |