| NPI | 1609414168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADEN PETERSON Nurse Practitioner / Owner 580-235-1657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2021-01-28 |