| NPI | 1376749994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ANTHONY SCOTT Owner 432-363-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research (Licence: TX 4297) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |