| NPI | 1467976654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BLICK Physician/Owner 580-339-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2023-05-01 |