| NPI | 1407380660 |
|---|---|
| Doing Business As | OUR FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DOROTHY PAULINE MOORE Sole Proprietor 432-218-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |