| NPI | 1649591074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMSEY R. HAZBOUN M.D./Owner 915-842-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M2343) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2017-11-01 |