| NPI | 1619005535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY J. BROOKS President 270-789-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-03-25 |