| NPI | 1487993630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARTIN Manager, Edi 806-761-0843 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 133V00000X Dietitian, Registered | |
| 207Q00000X Family Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2024-01-31 |