| NPI | 1720221765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTIE GENE HANKINS President 254-213-5425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2012-12-14 |