| NPI | 1316363187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN JOAN KOZMA President 432-262-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K5173) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |