| NPI | 1235466947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GARBER CFO 580-421-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2012-06-12 |