| NPI | 1235535105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY J BARBER Office/Practice Manager 682-738-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L3325) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2025-06-10 |