| NPI | 1730570920 |
|---|---|
| Doing Business As | MEDICAL ARTS SPECIALTY ANNEX |
| Entity Type | Organization |
| Authorized Contact | JEFFREY EDWARD WEAVER CFO 806-872-5727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-11 |