| NPI | 1306386081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CURRY Owner 325-657-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX MC1274466) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |