| NPI | 1295026466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAYNE FRENCH Owner 270-388-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2017-05-01 |