| NPI | 1386188282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE LYNN FARNSWORTH Owner 254-755-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 2801) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |