| NPI | 1558844258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA FOSS Director Of Administration 254-224-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |