| NPI | 1598886129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY EUGENE DONOHUE Owner 254-968-7079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX G3302) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-01-21 |