| NPI | 1376541128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P THOMAS Owner 915-751-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2022-07-21 |