| NPI | 1629262787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI A MARTINEZ Office Coordinator 432-582-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX J3306) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2008-03-24 |