NPI | 1295979177 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW HINMAN Facility Manager 325-646-7828 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health |
Enumeration Date | 2009-04-23 |
Last Update Date | 2009-04-23 |