| NPI | 1588841316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LU ANN WELDON Administrator 806-381-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX 41702) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TX 41702) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |