| NPI | 1396811345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J CHRIST Provider Relations Coordinator 254-618-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |