| NPI | 1639196546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA W COCHRAN Accounting Manager 806-771-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 207RG0100X Internal Medicine, Gastroenterology | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |