| NPI | 1609945120 |
|---|---|
| Doing Business As | WICHITA FALLS FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | AHMED A MATTAR Program Director 940-767-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2014-11-07 |