| NPI | 1649205972 |
|---|---|
| Doing Business As | FAMILY MEDICINE CENTER ON COULTER |
| Entity Type | Organization |
| Authorized Contact | STEFANIE FEEMSTER Credentialing Specialist 806-350-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-05-03 |