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 |