| NPI | 1548317704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AUSTIN President And CEO 432-570-0238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2021-06-03 |