NPI | 1285526855 |
---|---|
Entity Type | Organization |
Authorized Contact | RICKEY HAMBY Md/Owner 432-557-2548 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2025-07-17 |
Last Update Date | 2025-09-18 |