| NPI | 1437989423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA GREEN Vice President For Business Affairs 806-716-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |