| NPI | 1245235977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNOY ANTHONY WALKER President 915-584-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H1422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H1422) |
| 208000000X Pediatrics (Licence: TX H1422) | |
| 363A00000X Physician Assistant (Licence: TX H1422) | |
| 363L00000X Nurse Practitioner (Licence: TX H1422) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2012-09-21 |