| NPI | 1639329949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN BRADY LOCKE CEO/Owner 432-699-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K5608) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2012-10-09 |