| NPI | 1679774442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY LANCE GREGSTON Owner 580-252-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-07-16 |