| NPI | 1619565595 |
|---|---|
| Doing Business As | COVENANT WEST TEXAS FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2023-02-24 |