NPI | 1528380854 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE CULBERTSON Business Manager 432-729-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX PA02637) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TX G0083) |
Enumeration Date | 2010-03-01 |
Last Update Date | 2019-03-21 |