NPI | 1457331175 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER H HUGHES Administrator 580-223-5311 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 12645) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 14797) |
208000000X Pediatrics (Licence: OK 19096) | |
208600000X Surgery (Licence: OK 8543) | |
363L00000X Nurse Practitioner (Licence: OK r0030962) | |
Enumeration Date | 2006-01-19 |
Last Update Date | 2020-08-22 |