| 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 |