| NPI | 1427729995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY YEARY Family Physician/Owner 915-929-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-09-24 |