| NPI | 1699095752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI J CABALLERO Business Office Manager 806-652-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K5356) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |