| NPI | 1699941476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON ALAN CROSS Owner 806-379-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 5247) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |