| NPI | 1295952018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK LOVE CEO 806-293-8561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX F1756) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-06-24 |