| NPI | 1225397755 |
|---|---|
| Doing Business As | DIG WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRY L GROBAN Secretary Treasurer 325-695-3412 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 595980) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |