| NPI | 1528244068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY D PHIPPS Owner 915-544-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX L4648) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2013-03-21 |