| NPI | 1235936360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MILLER Physician Assistant 806-370-3705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2026-07-21 |