| NPI | 1265519623 |
|---|---|
| Doing Business As | SUSAN BALTZ |
| Entity Type | Organization |
| Authorized Contact | SUSAN A BALTZ Family Nurse Practitioner Owner 806-374-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 251159) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K2883) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-11-20 |