| 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 |