| NPI | 1639280431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN SUE HURT Cpmsm, Cpcs 806-355-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-03-30 |