| NPI | 1578756771 |
|---|---|
| Doing Business As | DBA LIVING WELL EXPRESS CARE |
| Entity Type | Organization |
| Authorized Contact | CAROLYN SUE HURT Director, Corporate Credentialing 806-355-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2012-04-23 |