| NPI | 1669685186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA FLOWERS Ubo Manager 254-288-8693 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2015-06-03 |