| NPI | 1396873170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD HAGGERTON Business Office Mgr. 432-550-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K1852) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-05-01 |