| NPI | 1356649131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS B WYATT Medical Doctor, General Surgeon 806-467-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX G9018) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-05-31 |