| NPI | 1447628862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA JEANETTE SPOHN-LEDFORD Family Nurse Practitioner 806-206-7625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX AP128944) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |