| NPI | 1720189400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL J VALLIE General Partner 432-699-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 242554) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-10-18 |