NPI | 1407116304 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDITH M MADURA Chief Executive Officer 806-894-7842 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-05-24 |
Last Update Date | 2012-05-24 |