| NPI | 1699894519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L. HEINE Owner 806-293-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX J5347) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |