| NPI | 1417067083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON C HUBBARD Owner 325-643-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L4978) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K5697) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-11-09 |