| NPI | 1619757671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ELIZABETH MONTGOMERY Owner, Clinical Services Director 806-282-1437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |