NPI | 1538703459 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE SMITH CEO 806-355-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2019-11-04 |
Last Update Date | 2022-05-12 |