| NPI | 1467594457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANETTE F MCINYRE Owner 806-331-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: TX 15942) |
| Additional Taxonomies | 261QM0801X (Licence: NM 4265) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-06-18 |