| NPI | 1417061128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA FERGUSON Director 325-655-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: TX 509681) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-10-23 |