NPI | 1588990501 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN SHEFFEL Fnp 361-355-8202 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 666326) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2009-10-27 |
Last Update Date | 2024-10-03 |