| NPI | 1396741237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK C LOVE Cheif Executive Officer 806-293-8561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: TX F1756) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2010-11-11 |