| NPI | 1659216588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY E HUGGINS Owner 936-560-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |