| NPI | 1588933105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEJAWA Medical Director/Staff Physician 254-781-8169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX n1731) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |