| NPI | 1487683371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY P GARRISON Coordinator, Managed Care 806-785-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX K5014) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K5014) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2007-10-10 |