| NPI | 1518778158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT S CARPENTER Owner/Physician 325-370-4598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |