| NPI | 1699464339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED R COLVERT President/Medical Director 580-366-1638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2024-06-16 |