| NPI | 1407890775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY ROBERTS Practice Administrator 940-764-3053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207T00000X Neurological Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-07-21 |