| NPI | 1356360473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN BAUTISTA Md 580-338-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 19756) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 26523) |
| 207R00000X Internal Medicine (Licence: OK 19772) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-02-03 |