| NPI | 1558914481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA DIAZ Provider 806-316-2754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |