| NPI | 1568978708 |
|---|---|
| Doing Business As | MANGUM FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREA SNIDER Controller 580-782-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2020-10-06 |