| NPI | 1538450689 |
|---|---|
| Doing Business As | SOVEREIGN FAMILY PRACTICE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRIS M ANOATUBBY President, Sovereign 580-272-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2015-06-18 |