| NPI | 1497027098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND WEAVER MCCLURE President 940-383-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2013-03-20 |